Provider Demographics
NPI:1083688352
Name:KERR, BARTLEY HARVARD (DC)
Entity type:Individual
Prefix:DR
First Name:BARTLEY
Middle Name:HARVARD
Last Name:KERR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36081 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1531
Mailing Address - Country:US
Mailing Address - Phone:727-786-7574
Mailing Address - Fax:727-773-0863
Practice Address - Street 1:36081 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1531
Practice Address - Country:US
Practice Address - Phone:727-786-7574
Practice Address - Fax:727-773-0863
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU82168Medicare UPIN